Provider Demographics
NPI:1215136189
Name:MORTON, JAMES LUTHER (LPC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LUTHER
Last Name:MORTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:946 S MAIN ST NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-4548
Mailing Address - Country:US
Mailing Address - Phone:770-860-8549
Mailing Address - Fax:770-860-1694
Practice Address - Street 1:946 S MAIN ST NE
Practice Address - Street 2:SUITE 200
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-4548
Practice Address - Country:US
Practice Address - Phone:770-860-8549
Practice Address - Fax:770-860-1694
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2481101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor